When caring for a patient with infective endocarditis of the tricuspid valve, the nurse should monitor the patient for the development of
a. flank pain.
b. splenomegaly.
c. shortness of breath.
d. mental status changes.
ANS: C
Embolization from the tricuspid valve would cause symptoms of pulmonary embolus. Flank pain, changes in mental status, and splenomegaly would be associated with embolization from the left-sided valves.
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Explanation: 1. Herbs can interact with medications. 2. Because the FDA does not regulate herbal medicines, there is no assurance of standardization of their ingredients, purity, dosage, or potency. 3. It is important for the client to discuss the use of herbal remedies with prescribed medications with the healthcare provider. 4. The Food and Drug administration does not regulate herbal
medicines, and these medicines may have different ingredients, purity, dosage, or potency. 5. For most herbal remedies, there have not been sufficient clinical trials to demonstrate their effectiveness or appropriate dosage. 1. Nonpharmacological approaches can alleviate the pain. 2. Nonpharmacological approaches can delay the need for medication. 3. Nonpharmacological approaches can prevent the need for medication. 4. Nonpharmacological approaches can complement current medication therapy. 5. Nonpharmacological approaches do not cost the client anything to use or implement.
Mrs. Berger is a 39-year-old woman who presents with a complaint of epigastric abdominal pain. You have completed the inspection of the abdomen. What is your next step in the assessment process?
a. Light palpation b. Deep palpation c. Percussion d. Auscultation
You are assessing an infant and notice that his nares flare, he has a soft grunt with each breath, and the skin between his ribs is pulled inward with inhalation. What is the significance of these findings?
A) These are indicative of a CNS process. B) These are indicative of respiratory distress. C) These are indicative of muscular dystrophy. D) These are frequently accompanied by stridor.
Which beverage will the nurse instruct a client taking lithium (Eskalith) for treatment of bipolar disorder to avoid?
a. Cola b. Grape juice c. Milk d. Orange juice